Healthcare Provider Details

I. General information

NPI: 1326091505
Provider Name (Legal Business Name): RESCUE AMBULANCE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 844 KM 1 HM 9 BO CUPEY BAJO
SAN JUAN PR
00926
US

IV. Provider business mailing address

PO BOX 4985 SUITE 233
CAGUAS PR
00726-4985
US

V. Phone/Fax

Practice location:
  • Phone: 787-292-3360
  • Fax: 787-748-4782
Mailing address:
  • Phone: 787-292-3360
  • Fax: 787-748-4782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberTCAMB20
License Number StatePR

VIII. Authorized Official

Name: MR. ANSELMO RODRIGUEZ
Title or Position: PRESIDENT
Credential:
Phone: 787-292-3360